Organization · Type 2 NPI

Kerricher Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Worth, TX

NPI number 1184024770 Active

Practice location

2400 Lands End Blvd, Ste 131
Fort Worth, TX 76116-2170

Call (817) 570-0916 Map

Fax (817) 377-0279

Mailing address

5200 Virginia Way
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1184024770
Entity type: Organization (Type 2)
Issued: Sep 2, 2014
Last updated: Apr 30, 2020
Status: Active

Other names

<unavail>
Cowtown West Dialysis · doing business as
Cowtown West Dialysis · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1184024770

Kerricher Dialysis, LLC's National Provider Identifier is 1184024770, issued on Sep 2, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 30, 2020.